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Enrollment

  • Steps to sign up for the programs

    1. Complete health history form:
    2. Send documents to:
      • Email weightmanagement@allina.com or
      • Mail to:
        Weight Management Referral Specialist
        Mercy Specialty Center
        11850 Blackfoot St. NW, Suite 300                                                                
        Coon Rapids, MN 55433

      If you are not able to open, save, or send the history form, please call 763-236-0940 and a hard copy with a return envelope will be mailed out to you. Or, you may print a copy and mail to Allina Health Weight Management Attention: Referral Specialist, 11850 Blackfoot St. NW, Coon Rapids, MN 55433.

    3. Upon receipt of your health history form, scheduling staff will contact you to assist you with individual appointment or group scheduling, depending on your preferred program. 
    4. Please contact our enrollment department at 763-236-0940 with any questions.